Provider Demographics
NPI:1679022560
Name:GARNETT, LINDA (LGSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GARNETT
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 YOSEMITE AVE
Mailing Address - Street 2:APT B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7106
Mailing Address - Country:US
Mailing Address - Phone:443-525-9011
Mailing Address - Fax:
Practice Address - Street 1:3705 YOSEMITE AVE
Practice Address - Street 2:APT B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7106
Practice Address - Country:US
Practice Address - Phone:443-525-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21301104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker